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Fibrous papule of the nose

Field	Value
name	Fibrous papule of the nose
synonyms	Benign solitary fibrous papule, fibrous papule of the face
image	Fibrous papule of the nose 01.jpg
caption	Fibrous papule of the nose
field	Dermatology
symptoms	Persistent, usually solitary, unchanging, small, shiny, smooth, firm bump on or near nose
onset	Young adult
duration	Permanent
causes	Unknown, originates in dermal dendrocyte
diagnosis	Appearance, skin biopsy, histopathology
differential	Benign melanocytic naevus, early BCC
treatment	Usually none, shave excision, electrosurgery
prognosis	Harmless, longlasting, recurrence rare
frequency	Common

Fibrous papule of the nose is a harmless small bump on or near the nose. It is typically dome-shaped, skin-colored, white or reddish, smooth and firm. Less frequently it can occur elsewhere on the face. Sometimes there are a few. It may be shiny and remains unchanged for life. There may be a central hair.

The precise cause is unknown.

It is common, usually appearing in young adults and then remaining permanent.

Diagnosis and treatment

Diagnosis is by visualisation, skin biopsy or histopathology of one that has been surgically cut out. Histopathology shows fibroblasts, fibrotic stroma, and large blood vessels. It can appear similar to a benign melanocytic naevus or an early BCC. It may be mistaken for a nevocytic nevus, neurofibroma, and pyogenic granuloma. The presence of several should alert to seeking for other signs of tuberous sclerosis.

Usually no treatment is necessary. Treatments for cosmetic reasons include shave excision and electrosurgery. Following treatment, recurrence is rare.

References

(2020). "Andrews' Diseases of the Skin: Clinical Dermatology". Elsevier.
"Fibrous papule".
"Fibrous papule of the nose {{!}} DermNet NZ".
(August 2018). "Fibrous Papule: A Histopathologic Review". The American Journal of Dermatopathology.

Info: Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

dermal-and-subcutaneous-growths

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